Individual
JODIE B JOHNSON
Active
Individual
JODIE B JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN096309
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN096309 AP05113
CRNA LIC
LA
Enumeration date
02/20/2007
Last updated
05/07/2019
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